Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $9,549.93	Facility		$3,090.30	$4,570.88	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $4,897.79	Professional		$2,454.71	$3,019.95	$4,897.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $5,128.61	Professional		$2,951.21	$3,090.30	$5,128.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $5,128.61	Facility		$2,454.71	$3,311.31	$5,128.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $5,623.41	Facility		$2,344.23	$3,019.95	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,606.93	Facility		$407.38	$3,019.95	$6,606.93